| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $790 | $790 | 2.38% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD. SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $677 | $677 | 2.04% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $889 | $889 | 2.76% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD. SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $762 | $762 | 2.37% |
| AURELIO VELA INSURANCE SERVICES INC3 | 1561 E. ORANGETHORPE AVE. SUITE 200 FULLERTON, CA 92831 | AFLAC | $2K | $68 | $2K | 6.50% |
| JAMES J SCHAMBER3 Filed as: JAMES J. SCHAMBER | 5700 E. FRANKLIN RD. SUITE 110 NAMPA, ID 83687 | AFLAC | $701 | $19 | $720 | 2.37% |
| JAMES P BOADA3 Filed as: JAMES P. BOADA | 30991 VIA MIRADOR SAN JUAN CAPISTRANO, CA 92675 | AFLAC | $614 | $24 | $638 | 2.10% |
| TABELLO INS SERVICES INC3 Filed as: TABELLO INS. SERVICES INC. | 1561 E. ORANGETHORPE AVE. SUITE 200 FULLERTON, CA 92831 | AFLAC | $389 | — | $389 | 1.28% |
| JONATHAN ALI HAJIMOMEN3 | 1561 E. ORANGETHORPE AVE. SUITE 200 FULLERTON, CA 92831 | AFLAC | $332 | $27 | $359 | 1.18% |
| NICKI TURNER3 Filed as: NICKI LYN TURNER | 1561 E. ORANGETHORPE AVE. SUITE 200 FULLERTON, CA 92831 | AFLAC | $257 | $95 | $352 | 1.16% |
| AURELIO VELA3 | 1561 E. ORANGETHORPE AVE. SUITE 200 FULLERTON, CA 92831 | AFLAC | $192 | — | $192 | 0.63% |
| PAULA G. ACHESON3 | 331 E. NEWPORT AVE. HERMISTON, OR 97838 | AFLAC | $134 | — | $134 | 0.44% |
| DENNIS S HANSEN3 Filed as: DENNIS S. HANSEN | 210 HAMPTON LN. IDAHO FALLS, ID 83404 | AFLAC | $128 | — | $128 | 0.42% |
| JOANNA MARIE STEVENS3 | 537 E. PARKCENTER BLVD. APT. 131 BOISE, ID 83706 | AFLAC | $122 | $1 | $123 | 0.41% |
| ALLEN C WILLIAMSON3 Filed as: ALLEN C. WILLIAMSON | 24285 STAFFORD RD. CALDWELL, ID 83607 | AFLAC | $115 | — | $115 | 0.38% |
| CHARLES A. WOODWARD3 | 23456 MADERO SUITE 240 MISSION VIEJO, CA 92691 | AFLAC | $105 | — | $105 | 0.35% |
| TRISTA DIANE WOLFE3 | 2646 N. COLUMBINE AVE. BOISE, ID 83713 | AFLAC | $81 | $22 | $103 | 0.34% |
| VICTORIA K. HIRSCH-BOADA3 | 30991 VIA MIRADOR SAN JUAN CAPISTRANO, CA 92675 | AFLAC | $54 | — | $54 | 0.18% |
| GILBERT FLORES3 | 12336 W. BRIDGER BAY DRO. STAR, ID 83669 | AFLAC | $54 | — | $54 | 0.18% |
| GILBERT FLORES3 | 662 BRIAR VIEW DR. ORANGE PARK, FL 32065 | AFLAC | $51 | — | $51 | 0.17% |
| MICHELLE S CARHILL (SHELLEY)3 Filed as: MICHELLE S. CARHILL (SHELLEY) | 653 LAURELWOOD AVE. IDAHO FALLS, ID 83401 | AFLAC | $44 | — | $44 | 0.14% |
| ANTHONY SWEETER3 Filed as: ANTHONY J. SWEETER | 10650 COUNTY ROAD 81 SUITE 214 MAPLE GOVE, MN 55369 | AFLAC | $42 | — | $42 | 0.14% |
| BRIAN E KATZ3 Filed as: BRIAN E. KATZ | 1032 S. SIERRA BONITA AVE. LOS ANGELES, CA 90019 | AFLAC | $37 | — | $37 | 0.12% |
| ANDRE LAFLAMME3 | 9007 46TH COURT NW GIG HARBOR, WA 98335 | AFLAC | $37 | — | $37 | 0.12% |
| JUDY D HANSEN3 Filed as: JUDY D. HANSEN | 20 SHADOW RD. GARDEN VALLEY, ID 83622 | AFLAC | $35 | — | $35 | 0.12% |
| TYSON JOHNSON3 | 1891 W. OAKLEY WAY KUNA, ID 83634 | AFLAC | $33 | — | $33 | 0.11% |
| KRISTEN NICOLE GLENN3 | 1604 VIA TULIPAN SAN CLEMENTE, CA 92673 | AFLAC | $33 | — | $33 | 0.11% |
| PEGGY K SALMON3 Filed as: PEGGY K. SALMON | 2203 AVENIDA OLIVA SAN CLEMENTE, CA 92673 | AFLAC | $33 | — | $33 | 0.11% |
| ANDREW F. JR. RUSSO3 | 35427 S. BORDER THOUSAND OAKS, CA 92276 | AFLAC | $33 | — | $33 | 0.11% |
| G SCOTT COOKE3 Filed as: G. SCOTT COOKE | 2832 NE 17TH AVE. WILTON MANORS, FL 33334 | AFLAC | $25 | — | $25 | 0.08% |
| LEO JENNINGS3 | 500 LOCHER RD. TOUCHET, WA 99360 | AFLAC | $24 | — | $24 | 0.08% |
| REBECCA J. COTTER3 | 13526 160TH AVE. NE REDMOND, WA 98052 | AFLAC | $22 | — | $22 | 0.07% |
| TRISHA JENNINGS3 Filed as: TRISHA JEAN JENNINGS | 500 LOCHER RD. TOUCHET, WA 99360 | AFLAC | $21 | — | $21 | 0.07% |
| ALFRED RIETKERK3 | 3120 NE 47TH ST. FT. LAUDERDALE, FL 33308 | AFLAC | $17 | — | $17 | 0.06% |
| RYAN T NIELSEN3 Filed as: RYAN T. NIELSEN | 2496 W. 3300 N. OGDEN, UT 84404 | AFLAC | $15 | — | $15 | 0.05% |
| KEVIN B SORIA3 Filed as: KEVIN B. SORIA | 7904 W. PENNSYLVANIA DR. LITTLETON, CO 80122 | AFLAC | $13 | — | $13 | 0.04% |
| CDS INSURANCE SERVICES3 Filed as: CDS CORP. | 2001 E. FINANCIAL WAY SUITE 200 GLENDORA, CA 91741 | AFLAC | $12 | — | $12 | 0.04% |
| KAREN M HUGHES3 Filed as: KAREN HUGHES | 3120 NE 47TH ST. FORT LAUDERDALE, FL 33308 | AFLAC | $12 | — | $12 | 0.04% |
| MELVIN R JONES3 Filed as: MELVIN R. JONES | 3025 ELIOCH MANOR DR. POWHATAN, VA 23139 | AFLAC | $10 | — | $10 | 0.03% |
| PETER JAMES SARANTIS3 | 26200 TOWN CENTER DR. SUITE 110 NOVI, MI 48375 | AFLAC | $10 | — | $10 | 0.03% |
| DUANE A ADAMS3 Filed as: DUANE ANDREW FRY | 641 HIGUERA ST. SUITE 300 SAN LUIS OBISPO, CA 93401 | AFLAC | $9 | — | $9 | 0.03% |
| AUSTIN STOLP3 | 1455 N. COLE RD. BOISE, ID 83704 | AFLAC | $9 | — | $9 | 0.03% |
| ANDREW R GRETHEL3 Filed as: ANDREW R. GRETHEL | 11739 HICKORY RUN CT. LOVELAND, OH 45140 | AFLAC | $9 | — | $9 | 0.03% |
| CASEY DALE HOBSON3 | 13320 W. REDWICK DR. BOISE, ID 83713 | AFLAC | $8 | — | $8 | 0.03% |
| CHARLES EDWARD PERRY3 | 12858 TORREY PINES DR. AUBURN, CA 95602 | AFLAC | $8 | — | $8 | 0.03% |
| WILLIAM S PIXLER3 Filed as: WILLIAM S. PIXLER | P.O. BOX 810 OREM, UT 84059 | AFLAC | $7 | — | $7 | 0.02% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 28202 CABOT RD. SUITE 600 LAGUNA NIGUEL, CA 92677 | AFLAC | $7 | — | $7 | 0.02% |
| GREGORY F STENZEL3 Filed as: GREGORY F. STENZEL | 1249 KIOWA DR. W. GAINESVILLE, TX 76240 | AFLAC | $7 | — | $7 | 0.02% |
| JOSEPH A BUZZELLO3 Filed as: JOSEPH A. BUZZELLO | 9018 BALBOA BLVD. SUITE 254 NORTHRIDGE, CA 91325 | AFLAC | $6 | — | $6 | 0.02% |
| LESLIE J BAILEY3 Filed as: LESLIE J. BAILEY | 4234 N. PORTAGE AVE. MERIDIAN, ID 83646 | AFLAC | $6 | — | $6 | 0.02% |
| SUWAT ASSAWAMATIYANONT3 | 8171 HAMPTON WOOD DR. BOCA RATON, FL 33433 | AFLAC | $5 | — | $5 | 0.02% |
| MARGARET HICKMAN3 | 5171 SANTA FE ST. YORBA LINDA, CA 92886 | AFLAC | $5 | — | $5 | 0.02% |
| G SCOTT COOKE3 Filed as: SCOTT E. NIELSEN | 718B W. FOURTH PLAIN BLVD. VANCOUVER, WA 98660 | AFLAC | $5 | — | $5 | 0.02% |
| ALEX C MARTI3 Filed as: ALEX C. MARTI | 516 E. ROCKINGHAM DR. EABLE, ID 83616 | AFLAC | $4 | — | $4 | 0.01% |
| BARRY MCPHERSON INC3 Filed as: BARRY MCPHERSON INC. | 2211 MICHELSON DR. SUITE 1150 IRVINE, CA 92612 | AFLAC | $4 | — | $4 | 0.01% |
| KIMBERLY FERGUSON3 Filed as: KIMBERLY MOGER | 24229 SE 147TH PL. ISSAQUAH, WA 98027 | AFLAC | $4 | — | $4 | 0.01% |
| PHILLIP S GLEASON3 Filed as: PHILLIP S. GLEASON | 8222 DE LONGPRE AVE. APT. 4 WEST HOLLYWOOD, CA 90046 | AFLAC | $4 | — | $4 | 0.01% |
| STEVEN K BRINGHURST3 Filed as: STEVEN K. BRINGHURST | 536 W. BAYHILL DR. NAMPA, ID 83686 | AFLAC | $4 | — | $4 | 0.01% |
| JAMES J GRETHEL3 Filed as: JAMES J. GRETHEL | 865 CEDAR DR. LOVELAND, OH 45140 | AFLAC | $3 | — | $3 | 0.01% |
| OWEN JOHNSTON3 | 796 N. HART ST. ORANGE, CA 92867 | AFLAC | $3 | — | $3 | 0.01% |
| PHILLIP S GLEASON3 Filed as: PHILLIP S. GLEASON | 1322 HAVENHURST DR. APT. 25 WEST HOLLYWOOD, CA 90046 | AFLAC | $3 | — | $3 | 0.01% |
| SCOTT W BLACKSHEAR3 Filed as: SCOTT W. BLACKSHEAR | 3453 CATHRYN DR. COLUMBUS, GA 31906 | AFLAC | $3 | — | $3 | 0.01% |
| MICHAEL MCGRATH3 Filed as: MICHAEL TIMOTHY MCGRATH | 2901 W. COAST HWY SUITE 200 NEWPORT BEACH, CA 92663 | AFLAC | $3 | — | $3 | 0.01% |
| KERSTIN J VANZANTEN3 Filed as: KERSTIN J. VANZANTEN | 40152 STOWE RD. TEMECULA, CA 92591 | AFLAC | $3 | — | $3 | 0.01% |
| DAVID J MCCLELLAN3 Filed as: DAVID JOHN HANNANT | 14830 NE 167TH ST. WOODINVILLE, WA 98072 | AFLAC | $2 | — | $2 | 0.01% |
| DALE I DAVIS3 | 1856 TRAVELLER RD. LEXINGTON, KY 40504 | AFLAC | $2 | — | $2 | 0.01% |
| KRISTIN BEAN3 | 5058 HAWLEY BLVD. SAN DIEGO, CA 92116 | AFLAC | $2 | — | $2 | 0.01% |
| PAUL MICHAEL HANNANT3 | 6052 SAWGRASS ST. SE SALEM, OR 97306 | AFLAC | $2 | — | $2 | 0.01% |
| DALE I DAVIS3 | 5892 CEDARCREEK LN. LEXINGTON, KY 40515 | AFLAC | $1 | — | $1 | 0.00% |
| AMANDA M GRIFFITH3 Filed as: AMANDA M. GRIFFITH | 11400 SE 8TH ST. SUITE 375 BELLEVUE, WA 98004 | AFLAC | $1 | — | $1 | 0.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $624 | $3K | 12.73% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD. SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $535 | $535 | 2.34% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | VISION SERVICE PLAN | $1K | — | $1K | 9.14% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 198 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 199 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 127 | $12K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 196 | $56K |
| Short-term disability | AFLAC | 26 | $30K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 198 | $32K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 196 | $64K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 198 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.